Pathfinder

An extension of the Pathfinder service has allowed the
development of an Assertive Case Management (ACM) function. The
service undertakes gate-keeping responsibilities for referrals to
high, medium and low secure and independent sector personality
disorder placements. The ACM team works to monitor the care
received by personality disordered offenders (PDOs) who access the
NHS and independent sector hospitals for inpatient treatment by
ensuring that they receive a standard and type of care that is
appropriate to their specific needs and in line with current
national guidelines and strategy.

The ACM team works to ensure that clear, high quality care
pathways exist for this complex service user group. In a practical
sense, this means conducting independent assessments of patient's
presentation, diagnosis and therapeutic needs, reviewing their care
and supporting recommendations through consultation and liaison
with service providers. It also means committing to the ongoing
tracking and supervision of patients as they progress through their
specific care pathways, monitoring the ongoing appropriateness of
inpatient care, working to minimise length of stay in unhelpful
therapeutic environments and expedite discharge to community care
or the Criminal Justice System. The team also provides a quality
assurance role for independent sector service providers by engaging
in scoping evaluations and evaluating patient outcomes for these
services.

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